Correspondence . EJC._ 2-eo ? I 3(
c City of Ti ard, Oregon a 13125 SW Hall Blvd. ® Tigard, OR 97223` ; '
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April 21, 2008 . " J rc_ ; :4.
Ramsay Signs, Inc.
9160 SE 74 Ave.
Portland, OR 97206
Re: Permit No. ELC2008 -00131
Dear Sir /Ms.:
The City of Tigard has canceled the above referenced permit(s) and enclose a refund for the
following:
Site Address: 9645 SW Washington Sq Rd
Project Name: Gyro Express
Job No.: N/A
Refund: M Check #56996 in the amount of $47.85.
n Credit card "return" receipt in the amount of $ .
n Trust account "deposit" receipt in the amount of $ .
Notes: Per applicant's request as the work is being done by another contractor. Refund
80% of permit fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
..& / .
Dianna Howse
Building Division Services Coordinator
Enc.
I:\ Building\ Refunds \Administration \LtrRefund- CancelPermit.doc 01/16/07
Phone: 503.639.4171 o Fax: 503.684.7297 o www.tigard - or.gov 0 TTY Relay: 503.684.2772
City of Tigard
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TIGARD Tidemark Refund Request
This form is used for refund requests of land use, engineering and building application fees.
Receipts, documentation and the Request for Permit Action or Refund form (if applicable) must be
attached to this form. Refund requests are due to Tidemark System Administrator by Friday
at 5:00 PM for processing each Monday. Accounts Payable will route refund checks to Tidemark
System Administrator for distribution. Please allow 1 -2 weeks for processing.
PAYABLE TO: Ramsay Signs, Inc. DATE: 4/14/08
9160 SE 74t Ave.
Portland, OR 97206 REQUESTED BY: Dianna Howse
DEB
TRANSACTION INFORMATION:
Receipt #: 2008 -735 Case #: ELC2008 -00131
Date: 3/6/08 Address /Parcel: 9645 SW Washington Sq Rd
Pay Method: Check Project Name: Gyro Express
EXPLANATION: Per applicant's request as the work is being done by another contractor. Refund 80% of
permit fees.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: [BUILD] Permit Fee Example: 245- 0000 - 432000 $ Amount
[ELPRMT] ELC Permit 220 - 0000 - 431510 $42.72
[TAX] 12% State Surcharge 100- 0000 - 207020 5.13
TOTAL REFUND: $47.85
APPROVALS:
If under $500 Professional Staff /
If under $7,500 Division Manager ' `�` ^ f
If under $22,500 Department Manager
If under $50,000 City Manager
If over $50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: / /y� By: 1
l: \Building \Refunds \RefundRequest.doc 05/23/07
M"� _ �� 3/76/200r: r CIT Y O TIGARD
y 13125 SW Hall Blvd. 10:34:17AM
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')`!' Tigard, OR 97223 503.639.4171
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Receipt #: 27200800000000000735
Date: 03/06/2008
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
ELC2008 -00 1 3 1 [ELPRMT] ELC Permit 220 -0000- 431510 53.40
ELC2008 -00 1 3 1 [TAX] 12% State Surcharge 100- 0000 - 207020 6.41 .
Line Item Total: $59.81
Payments:
ilethod Payer User ID Acct. /Check No. Approval No. lioW Received Amount Paid
Check RAMSAY SIGNS, INC. BTT 2289 In Person 59.81
Payment Total: $59.81
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- C Community Development °
Request for Permit Action MAR 2 6 ''
TIGARD CITY OF i °:Gft, sD
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TO: CITY OF TIGARD
Building Division Services Coordinator
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2430 Fax: 503.598.1960 www.tigard- or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor IX Staff
(check one)
REFUND OR Name:
INVOICE TO: (Business or Individual) op A V « ) c
V 1 0 Mailing Address: c 1 LcQ �� 7 1- (.) `L
yn9ef AiiW Cit /State /Zip: f Jo 2 /..'). 02 9 7,c 6
Phone No.: 503 - 777- 45 ( -- 3e_ LOA 1.1 2_
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
CANCEL PERMIT APPLICATION.
REFUND PERMIT FEES (attach receipt, if available).
INVOICE FOR FEES DUE (attach case fee schedule and explain below).
❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit).
Permit #: Eke_ / Aoo s- D 15 I
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Site Address or Parcel #: q `7 b �� L1.-�J ��/ NC'o 7 2- ) A-) ,Q •
Project Name: a Y l p Ey_ Poe �✓ s
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Subdivision Name: fJ /t9 Lot #: NJ/4
EXPLANATION: 1AD01?,v\ - 1 POD — 6 ^ fi_ n.� 2`rtJlvus Ly � /LH0/ n
LA tJ-0 E 2 Ei_e___ AO o S- oOD L/3
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Signature: f I_ AI .0 A _a _, Date: ,5- A(p / 0g
Print Name: — 71)E661 € / f r7 4...1 fill 11
Refund Policy
1. The Director or Building Official may authorize thc refund of:
a) any fee which was erroneously paid or collected.
b) not more than 80 % of thc land use application fee when an application is withdrawn or canceled before any review effort has been expended.
c) not more than 80% of the land use application fee for issued permits.
d) not more than 80 % of the building plan review fee when an application is canceled before any plan review effort has been expended.
e) not more than 80% of the building permit fee for issued permits prior to any inspection requests.
2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds.
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Rte to S �s Admin: � Date �� � t FOR ii Rte to $ld _ NLYx- � - ��, � ,, ,�,,. ,,,. �, „ ;
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.= i/al4 rrnn: Date ��pd'" B�tv
Refund Processed: Date y / / /p j- By sera Invoice Processed: Date By
Permit Canceled: Date / V� By Parcel Tag Added: Date By
Receipt #4,--9/5 Date ..3/ / Method [-2 , e_-jc _ Amount $
I:A Building\ Forms \RegPcrmitAction.doc 12.6v 07 /26/07
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E 1 c 2aos 151
Shirley Treat
From: Steve Walker [stevew @ramsaysigns.com]
Sent: Wednesday, March 26, 2008 9:54 AM
To: Shirley Treat
Subject: Gyro
Hi Shirley
I recently obtained an electrical permit for Multi -Light Sign Company CCB# 175217 for the Gyros restaurant sign
installation at Washington Square. It turns out someone else had already pulled an electrical permit for the same job.
How do I go about requesting a refund?
Steve Walker
Ramsay Signs
9160 SE 74th Ave.
Portland, OR
97206
PH: (503)777 -4555
FAX:(503)777 -0601
EMAIL:stevew @ramsaysigns.com
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